Provider Demographics
NPI:1992831697
Name:SWANN, CHARENA R (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARENA
Middle Name:R
Last Name:SWANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CYGNET CLINICAL SERVICES
Mailing Address - Street 2:413 BEAVER ST., SUITE A
Mailing Address - City:SEWICKLEY HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1501
Mailing Address - Country:US
Mailing Address - Phone:412-741-9143
Mailing Address - Fax:412-741-9153
Practice Address - Street 1:MERRIMAN ROAD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15143
Practice Address - Country:US
Practice Address - Phone:412-741-9143
Practice Address - Fax:412-741-9153
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPSO16070103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling